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Related Experiment Video

Updated: Jul 5, 2025

Lexical Decision Task for Studying Written Word Recognition in Adults with and without Dementia or Mild Cognitive Impairment
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Useful blunders: Can automated speech recognition errors improve downstream dementia classification?

Changye Li1, Weizhe Xu2, Trevor Cohen2

  • 1Institute of Health Informatics, University of Minnesota, Minneapolis, 55455, MN, USA.

Journal of Biomedical Informatics
|January 22, 2024
PubMed
Summary
This summary is machine-generated.

Automatic speech recognition (ASR) errors in dementia classification surprisingly improved accuracy for Alzheimer's disease detection. Imperfect ASR transcripts provide valuable linguistic cues for cognitive impairment assessment.

Keywords:
Automatic speech recognitionDementiaExplainable artificial intelligenceNatural language processing

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Area of Science:

  • Computational linguistics
  • Neuroscience
  • Artificial intelligence in healthcare

Background:

  • Alzheimer's disease (AD) diagnosis relies on cognitive assessments, often involving language analysis.
  • Automatic Speech Recognition (ASR) systems are increasingly used for transcribing spoken language.

Purpose of the Study:

  • To investigate the impact of ASR errors on dementia classification accuracy.
  • To determine if imperfect ASR transcripts can aid in distinguishing Alzheimer's disease from healthy cognition.
  • To evaluate the effectiveness of ASR-generated transcripts in the "Cookie Theft" picture description task.

Main Methods:

  • Experiments utilized various ASR models with post-editing for transcript refinement.
  • Both imperfect ASR and manual transcripts served as input for dementia classification models.
  • Comprehensive error analysis was performed to compare model performance.

Main Results:

  • Imperfect ASR transcripts outperformed manual transcriptions in classifying Alzheimer's disease.
  • ASR-based models surpassed previous state-of-the-art performance.
  • ASR errors were found to contain valuable dementia-related linguistic cues.

Conclusions:

  • Imperfect ASR transcripts capture linguistic anomalies associated with dementia, enhancing classification accuracy.
  • The synergy between ASR and classification models highlights ASR's potential in cognitive impairment assessment.
  • ASR shows promise as a tool for clinical applications in evaluating cognitive health.